| Intuimind Individual And Couples Counseling Inc. | |
|
414 S Main St Lakeport CA 95453-5316 | |
| (562) 326-1382 | |
| Not Available |
| Full Name | Intuimind Individual And Couples Counseling Inc. |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 414 S Main St, Lakeport, California |
| Authorized Official Name and Position | Lee Zeledon (CHIEF OPERATING OFFICER) |
| Authorized Official Contact | 5623261382 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Intuimind Individual And Couples Counseling Inc. 9734 State Highway 281 # 5080 Kelseyville CA 95451-8401 Ph: (877) 921-4119 | Intuimind Individual And Couples Counseling Inc. 414 S Main St Lakeport CA 95453-5316 Ph: (562) 326-1382 |
| NPI Number | 1255012423 |
|---|---|
| Provider Enumeration Date | 07/31/2023 |
| Last Update Date | 07/31/2023 |
| Certification Date | 07/09/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255012423 | NPI | - | NPPES |
| 1689170250 | Other | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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